Recent discussions
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ILCOR Staff
I agree -
ILCOR Staff
I congratulate authors for their well done job. However, I want to signal that Rabi et al. "observed a higher risk of severe neurologic injury or death among preterm infants of ≤ 27 weeks gestation following a change in practice to initiating resuscitation with either room air or an intermediate oxygen concentration." (Resuscitation, 2015). Similarly, Oei et al. found that "Using RA to initiate resuscitation was associated with an increased risk of death in infants <28 weeks' gestation", although "This study was not a prespecified analysis, and it was underpowered to address this post hoc hypothesis reliably.". Therefore, it might be better to start resuscitation with some oxygen (FiO2 30-40%) adjusting it on the basis of SpO2. -
ILCOR Staff
I agree -
ILCOR Staff
I agree the current recommendation. -
ILCOR Staff
Iniciar sempre com FiO2 de 21% -
ILCOR Staff
I agree with the recommendations to start in 21% oxygen as most infants will transition with good airway management, may be there could be some suggested guidance as to when you would consider increasing the oxygen concentration.... e.g. at time of starting chest compressions? -
John Mouw
I agree with the recommendations of starting at room air, 21%. -
ILCOR Staff
Starting with 21% O2 is reasonably the best approach, but I usually increase O2 concentration if the baby does not respond with an increase in heart rate in 15-20 seconds. Most babies react well rapidly and I do not believe that few seconds of O2 at higher-than-normal concentration can be harmful for their future. The problem is different when infants DO NOT respond rapidly and are moderately to severely asphyxiated: should we increase O2 to...what? In this case, reperfusion injury should always be kept in mind, as a consequence of too much O2 -
ILCOR Staff
I agree with the recommendations. All infant resuscitations should start at 21% and titrate up as required. -
ILCOR Staff
I agree with the recommendation